Organization provider

BOULEVARD PHARMACY INC

Community/Retail Pharmacy Pharmacy

BOULEVARD PHARMACY INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104924133, based in Eden, NC. The organization lists 2 taxonomy classifications, with Community/Retail Pharmacy recorded as primary.

Getting there

The practice address on file is 256 THE BLVD, Eden, NC 27288. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

256 THE BLVD, Eden, NC 27288 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
06995 NC Pharmacy

This provider holds licence 06995 issued in NC. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Community/Retail Pharmacy covers

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. NUCC Health Care Provider Taxonomy, code 3336C0003X
Suppliers Pharmacy Community/Retail Pharmacy

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
3336C0003X Community/Retail Pharmacy Community/Retail Pharmacy primary
333600000X Pharmacy 06995 NC

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1104924133 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateSep 21, 2006
Last updatedSep 11, 2025
StatusActive
Practice address 256 THE BLVD
Eden, NC 27288
(336) 623-8448
Fax (336) 623-1934
Mailing address PO BOX 2186
Eden, NC 27289
Other identifiers 3430674 · OTHER ID NUMBER-COMMERCIAL NUMBER
0795732 (NC)
This record was updated on Sep 11, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1104924133 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 9 2 4 1 3
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 9 2 8 1 6

Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104924133?
NPI 1104924133 is the National Provider Identifier assigned to BOULEVARD PHARMACY INC in Eden, NC. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Community/Retail Pharmacy cover?
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional…
How do I contact BOULEVARD PHARMACY INC?
The phone number on file with NPPES is (336) 623-8448, last updated Sep 11, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1104924133 a valid number?
Yes. 1104924133 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.